New commission to help streamline medical licensure

AMA Wire
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Alabama this week became the seventh state to pass legislation to join the Interstate Medical Licensure Compact that will ease medical licensure burdens in some states. Passage of this seventh state launches the compact, and work will begin to create an interstate commission that will oversee the compact.

The compact is designed to facilitate a speedier process with fewer administrative burdens for physicians seeking licensure in multiple states.

Here’s how:

  • The eligible physician designates a member state as his or her state of principal licensure and selects other member states in which he or she desires a medical license.
  • The state of principal licensure verifies the physician’s eligibility and provides credential information to the interstate commission.
  • The commission collects applicable fees and transmits the physician’s information and licensure fees to the additional state medical boards.
  • Upon receipt by the additional state medical boards, the boards will grant the physician a license.

The commission also will create and enforce rules governing this process, but will not have authority over a state’s medical practice act. Each state participating in the compact will have two representatives on the commission.

The AMA endorsed the compact—an initiative of the Federation of State Medical Boards (FSMB)—in November. The AMA also created new policy to work with interested medical associations, the FSMB and other stakeholders to ensure expeditious adoption of the compact and the creation of the interstate commission.

Among states that adopt it, the compact would act as an independent law and as a contract among the states to help ensure ongoing cooperation and adaptation. It’s based on several key principles:

  • The practice of medicine is defined as taking place where the patient receives care, requiring the physician to be licensed in that state and under the jurisdiction of that state’s medical board. This tenant aligns with AMA’s principles for telemedicine.
  • Regulatory authority will remain with the participating state medical boards.
  • Participation in the compact is voluntary for both physicians and state boards of medicine.

FSMB has created a map that highlights the growing support in state legislatures for the compact. The interactive map allows physicians to see whether their state has introduced and passed legislation to join the compact.

For more information, visit the AMA Web page on telemedicine

Update: Minnesota became the eighth state to pass legislation to join the compact, with the governor signing the bill into law Tuesday.

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Why did the AMA endorse this Interstate Licensure Compact when the 2015 Federation Compact mandates ABMS MOC (trademark) retests for already Board certified diplomate physicians as a criterion for credentialing and eligibility? The Compact clearly VIOLATES the AMA statement opposing MOC linked in any way with licensure, hospital privileges, or insurance payments (11/9/2014)? Seventeen state medical societies have also opposed MOC, including Massachusetts (see changeboardrecert com). The Compact violates the AMA MOC policy and >95% of physicians and surgeons opposing MOC as a measure of professional competence. Commissioners need not have medical background or expertise. Disputes w the Commission even if backed by your state medical board could end your career. The Compact flagrantly violates state rights, the US Constitution, individual physician civil rights and opportunities for due process, and the Compact Commission and their rules over rule state medical boards and their hegemony. The Compact is very, very dangerous for any enrolled states or enrolled physicians. Doctors, beware!! Read the entire 29 page Compact legislation, line by line, and the Missouri legal analysis of its risks before participating. You can be criminalized easily and lose your license without recourse not only in your state of primary residence but automatically (within hours) in all other participating states. If your license is reinstated in your home state, your license is not automatically renewed in the other states; you need to work through due process in all those other states individually in order to get your license restored. The Federation owes the medical profession and the US taxpayer simpler, cheaper, more just, and scientifically valid legislation for physician licensure portability before anyone -- including AMA members -- should participate. Forewarned, just say NO to the 2015 Federation Interstate Medical Licensure Compact.
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Feb 24, 2017
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